NURSING N223 -Med-Surg II Exam 1 Study Guide.

NURSING N223 -Med-Surg II Exam 1 Study Guide/NURSING N223 -Med-Surg II Exam 1 Study Guide. Topics: Fluids & Electrolytes, Acid-Base, Blood/Hematology, Nutrition (electrolyte sources), Math (2) Readings: I & W Chapters 11, 12, 39, 40; ATI Chapters 39, 40, 42, 43, 44, 45 FLUID BALANCE:  Affected by electrolyte concentrations, Combination of I&O  Need at least 400-600ml urine output/day to excrete waste products (30ml/hr)  Insensible water loss: can’t control this water loss o Skin (sweating), lungs (breathing), stool (diarrhea) o Increase during trauma, burns, fever, stress, thyroid crisis, hot & dry weather o At risk patients: GI suction, mechanical ventilation, rapid respirations  1L fluid = 1kg fluid = 2.2lbs o Monitor fluid balance through weight and skin turgor (check clavicle)